Provider Demographics
NPI:1215308499
Name:DAVIS, GRIENA HERMAINE KNIGHT (EDD, LPC)
Entity type:Individual
Prefix:DR
First Name:GRIENA
Middle Name:HERMAINE KNIGHT
Last Name:DAVIS
Suffix:
Gender:F
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5413 COURT H
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35208-3016
Mailing Address - Country:US
Mailing Address - Phone:205-923-7347
Mailing Address - Fax:
Practice Address - Street 1:5413 COURT H
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35208-3016
Practice Address - Country:US
Practice Address - Phone:205-923-7347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-13
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC2286A101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional